Robert Donald Waddell III D.C.

NPI 1033445218 - Chiropractor - 111N00000X

NPI Details
NPI 1033445218
Gender Male
Enumeration Date 10/23/2009
Last Updated 12/02/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
12099 LAKE BLVD
LINDSTROM MN, 55045-9322, US
Phone (651) 257-1103
Fax (651) 257-1552
Business Location
12099 LAKE BLVD
LINDSTROM MN, 55045-9322, US
Phone (651) 257-1103
Fax (651) 257-1552
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 5301
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According to our database, Dr. Robert Donald Waddell III D.C. NPI is 1033445218, taxonomy code is 111N00000X and license number is 5301, license state is located at Minnesota. Robert Donald Waddell III D.C. physically located at 12099 Lake Blvd, Lindstrom MN, 55045-9322. NPI Number Robert Donald Waddell III D.C. has the Individual type.

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1033445218 NPI number is provided on an as is basis without warranty of any kind. 1033445218 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Donald Waddell III D.C. are for informational purposes only.